Active NPI
Brenda Natalie Larios
- Community Health Registered Nurse
- Los Angeles, CA
National Provider Identifier
1164903167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 785959
- Practice address
- 6043 Hollywood Blvd
Los Angeles, CA 90028-5411 - Phone
- (323) 337-1735
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 785959 | CA | Primary |
Addresses
Primary practice location
6043 Hollywood Blvd
Los Angeles, CA 90028-5411
Mailing address
6043 Hollywood Blvd
Los Angeles, CA 90028-5411
Phone (323) 337-1735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235271065 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 785959 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1164903167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 HOLLYWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900285411",
"telephone_number": "323-337-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6043 HOLLYWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900285411",
"telephone_number": "323-337-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIOS",
"first_name": "BRENDA",
"middle_name": "NATALIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "785959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235271065",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.